Risk for Unstable Blood Glucose
Diagnosis: Risk of having low or high blood glucose and instability.
Rationale: Compared to 'blood sugar,' the term 'blood glucose' is often articulated in professional
surroundings because it is more technically accurate. Complete this by ensuring that the factors and
interventions include tracking and regulating blood glucose levels, medication consent, and dietary laws.
Ineffective Health Management
Diagnosis: Ineffective health management.
Rationale: The term NANDA-I, "Ineffective Health Management," is more direct and specific to point out
exactly the problems with self-health and what it includes in managing health conditions, adherence to
therapeutic regimens, and ability to handle different kinds of treatment complexities.
Risk for Impaired Cardiovascular Function
Diagnosis: Deoxygenation linked to cardiac function.
Rationale: The problem of cardiovascular disease is indeed critical. Nevertheless, this narrowed
diagnosis might be more suitable for the metabolic tasks related to diabetes disturbance. This needs to
be about- the risk of high blood pressure, normalizing the cholesterol profile, and lifestyle issues.
Knowledge Deficit related to diabetes management.
Diagnosis: Knowledge Deficit
Goal: At the next diabetic check-up, the patient is expected to exhibit the knowledge of diabetes self-
management.
Interventions
Organize regular educational sessions to gain a complete understanding of diabetes and self-care.
Demonstrate the tactile side of blood glucose monitoring and insulin control practically.
Distribute user-friendly resources that could be used at home for further reference.
Risk for Infection due to high blood glucose levels
Diagnosis: Risk for Infection
The goal is that he will be free of any sign of infection and that his blood sugar will stay controllable
within three months.
Interventions
Educate to possess the correct blood glucose levels to strengthen the immune function.
Educate individuals on personal hygiene rules to exclude infections.
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Physical assessment
Utilization of Continuous Glucose Monitoring (CGM) in Diabetes Management
Introduction to the Tool: Continuous Glucose Monitoring (CGM) technologies significantly
reduce the waiting time for monitoring patients' blood glucose levels compared to traditional methods.
CGM devices give the typical glucose level as those standard glucose meter devices do and provide real-
time dynamic glucose information every few minutes throughout the day and night. Through using a
small sensor placed under the skin area, typically the abdomen or arm, CGM systems detect glucose in
the intercellular liquid, which can give you information on the time-related fluctuation of glucose and
patterns that will help you to handle diabetes more efficiently (Teymourian et al., 2020).
Relevance to Diabetes Management: The regulation of Type 2 Diabetes in a patient similar to
Ahmed is crucial because this patient can avoid complications. CGM devices have particular importance
for those patients who have trouble maintaining a constant glycemic level or who experience
hypoglycemia or hyperglycemia episodes relatively frequently (Vettoretti et al., 2020). Having such a rich
source of information on sugar levels brings the adjustments of such parameters as diet, physical activity,
and medicines in line with them to be more perfect.
Benefits of CGM
Improved Glycemic Control: Permanent feedback is an additional clue helping to adjust sugar
blood levels as precisely as possible.
Detection of Glucose Variations: These smart CGM devices can detect sudden changes in blood
glucose that usually escape the traditional blood glucose test, eliminating the chances of spikes
in highs or lows.
Enhanced Decision Making: Instant indications enable doctors to accurately make the necessary
treatment changes referring to medications and living habits.
Increased Patient Awareness and Engagement: In patients, self-care increases because they
have more chances to learn how different factors affect their glucose levels, making them take
care of their health actively (Kong & Cho, 2020).
Assessment Procedure
Sensor Insertion: It is embedded under the skin using a very simple skin insertion technique that
doesn't cause too much damage. The sensor will be worn for approximately 7 to 14 days, depending on
the specific model.
Monitor Calibration: Several types of CGM models now exist that require calibration using a
standard blood glucose meter. Once this is done, fingerstick testing is needed periodically to ensure that
the CGM's accuracy is optimal (Pleus et al., 2021).
Data Collection and Interpretation: Analyzing the data through a monitor or a smartphone app
uses a sophisticated system of transmitting glucose that both the patient and healthcare provider can
easily access. The concepts of data interpretation include all processes of glucose change discovery that
evaluate the management plan and make modifications when needed.
Integrating CGM into Ahmed’s Care Plan: It will be an essential improvement in managing
diabetes to consider the CGM as an integral part of Ahmed's condition control regime. Such a device, as
it permitted continuous monitoring of his glucose around a clock, could be used to provide detailed data,
which could be utilized to design his diet, exercise, and pharmacotherapy in a more personalized way.
During routine follow-ups, CGM education can help Ahmed unravel how individual interventions affect
his diabetes and what the best practices are specifically for him (Pleus et al., 2021).
CGM technology is a fantastic innovation in diabetes care. It provides the patient's healthcare
team with an incredible amount of real-time details on how their glucose levels vary over time, which
significantly facilitates the creation of personalized treatment plans that maximize effectiveness and
improve the patient's health. For Sheik Ahmed Abdulla Alhammadi, implementing CGM could be another
breakthrough in the quest for superior geometry, the best life quality, and better lifestyle change.
References
Teymourian, H., Barfidokht, A., & Wang, J. (2020). Electrochemical glucose sensors in diabetes
management: an updated review (2010–2020). Chemical Society Reviews, 49(21), 7671–7709.
https://doi.org/10.1039/D0CS00304B
Vettoretti, M., Cappon, G., Facchinetti, A., & Sparacino, G. (2020). Advanced diabetes
management using artificial intelligence and continuous glucose monitoring sensors. Sensors, 20(14),
3870. https://doi.org/10.3390/s20143870
Kong, S. Y., & Cho, M. K. (2020). Factors related to self-care in patients with type 2 diabetes. The
Open Nursing Journal, 14(1). https://opennursingjournal.com/VOLUME/14/PAGE/64/FULLTEXT/
Pleus, S., Kamecke, U., Waldenmaier, D., Link, M., Zschornack, E., Jendrike, N., ... &
Freckmann, G. (2021). Time in specific glucose ranges, glucose management indicator, and glycemic
variability: impact of continuous glucose monitoring (CGM) system model and sensor on CGM
metrics. Journal of diabetes science and technology, 15(5), 1104-1110.
https://doi.org/10.1177/1932296820931825